Female

Ms. Samantha G. Hodges NP

Acute Care Nurse Practitioner in Newburgh, IN(View on Map)

Full Name

Ms. Samantha Gammill Hodges NP

NPI Number

1790850550

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/21/2006

Specialties

(Taxonomies)

Code

363LA2100X

Primary Taxonomy

Yes

Licenses

State

Indiana
Kentucky

License Number

71001916A
3004267

Contact
Information

Purpose

Mailing
Location

Address

515 READ ST
10455 ORTHOPAEDIC DR

City

Evansville
Newburgh

State

IN
IN

Postal Code

47710-1739
47630-7955

Country

US
US

Telephone Number

(812) 424-9291
(812) 424-9291

Identifiers

Identifier

000000576607
K142950
200885860
7100083640

Identifier State

IN
KY
IN
KY

Identifier Issuer

BLUE CROSS BLUE SHIELD
MEDICARE
Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/05/2024

Provider Address

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